Individual
SUMMER ASHLYN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6205 NW FERRIS AVE, LAWTON, OK 73505-5703
(580) 536-6948
Mailing address
6205 NW FERRIS AVE, LAWTON, OK 73505-5703
(580) 536-6948
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1775
OK
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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